Naturally Occurring Evidence
Unlike Work Placed based assessments (CbDs COTs etc) the NOE requirements for SEA and case presentations are pro- rata for part timers, though you are expected to round up to next whole SEA or case presentation!
Please be aware that this is a MUST DO. These are Yorkshire and the Humber Deanery requirements that form part of WPBA and should be recorded in the appropriate section of your learning log.
1. Significant event analysis:
- File under Significant Event Analysis in your ePortfolio
- 3 SEAs in every six month post (or 2 in every four month post)
A Significant Event should have significant personal involvement; it is suggested that there is balance between SEAs which focus on individual learning and those which deal with team issues and improving systems of care. The format we require is a recent development for appraisal for GPs. This has the advantage that you will be familiar with what is being expected of GPs before some of them have started to use it.
If you attend an SEA meeting and you record this in your learning log, you should file that under lecture/seminar, because you should reserve the significant event analysis heading for SEAs that you had personal involvement in.
2. Reflection on key learning points from each post:
- File under Courses/Certificates
- 1 in every 6 month post
Concise summary of learning points, including reflections on learning achieved (in terms of knowledge, skills and attitudes), and how this relates to a career in GP. This reflection will result in new learning objectives for next posts. (Expected length up to one page A4).
3. Audit or Reflection on QOF:
- File under audit/project
- During the first GP attachment either an audit or reflection on a QOF area should be completed.
Normally this should be done in the first GP attachment and be available for the ARCP panel within four months of completion of the first GP post. There is no requirement from the ARCP for a further audit during ST2 and ST3.
The purpose of this exercise is to engage the trainee in change management in the practice in order to improve the quality of patient care.
The Audit should demonstrate a complete cycle. The trainee may need to take one day study leave from a hospital post to return to the practice to do a second data collection - expecially if the first post is four months.
A copy of the audit should be uploaded as an attachment to the learning log entry and a good quality learning log entry will demonstrate appropriate reflection on the audit.
QOF reflection. Choose one quality indicator – e.g new QOF indicator or one where performance is sub optimal. Examine and clarify the issues with reference to literature including suggestions to improve performance.
If you attend an audit or QOF meeting and you record these in your learning log, you should file them under lecture/seminar, because you should reserve the audit/project heading for audits etc that you personally carried out.
4. Case study or presentation
- File under Lecture/Seminar
- 1 in every 6 month post
This can be a presentation of a clinical case study, literature review, a research project, a discussion paper or notes review; such a presentaton may have been given in a departmental setting or VTS group.
Key points considered in the assessment of this work are:
- discussion of how practice relates to the evidence base
- demonstration of relevance to career in GP
Remember, if you do a departmental or VTS presentation, this can be mapped to curriculum statement 3.7; teaching, mentoring and clinical supervision.
(A set of power point slides with no discussion or reflection will be judged inadequate)
5 OOH Requirements in GP Post Expected OOH Experience
- File under Out of Hours
- 36 hours per 6 months in general practice placements are considered the minimum exposure for the registrars (pro-rata). So doctors doing 18 months in GP will need to complete 108 hours of OOH experience.
- Phone triage is acceptable for part of out of hours experience.
- The registrars educational supervisors are expected to check the number of OOH sessions during the formal review of the ePortfolio.
- You must keep a record of your hours and submit this to your ARCP panel review when it is due: Log of Out of Hours form
6.Your Leave and Complaints to date
- File under Professional Conversations
All trainees should be keeping a log of their leave to date and any complaints that have arisen during their training period. These need to be submitted to ARCP panels when your review is due (i.e. when moving from ST1 to ST2, ST2 to ST3 and ST3 to CCT)
7.Other Essentials
- File under Professional Conversations
All trainees need to keep a log of the following continuously throughout their training period and submit these to the ARCP panel review meeting when it is due.